Can I have a direct hysterectomy if I have cervical CIN3 and adenomyosis?



Having cervical CIN3 and also adenomyosis can usually lead to direct hysterectomy.

CIN3 is a high-grade intraepithelial lesion of the cervix and is classified as a precancerous lesion of the cervix or cervical carcinoma in situ. To prevent further progression to invasive carcinoma of the cervix, surgical removal of the uterus is indicated for cervical CIN3.

Adenomyosis is a lesion of the uterine wall caused by the implantation of endometrial glands and mesenchyme into the myometrium. Depending on the severity of the disease, it manifests itself in different degrees of uterine enlargement, heavy menstruation, dysmenorrhea, etc. For patients with adenomyosis who have obvious symptoms and have no fertility requirements without the effectiveness of medication, they can undergo total hysterectomy for treatment.

Patients with CIN3 combined with adenomyosis, which is an indication for hysterectomy, can usually be directly removed from the uterus to obtain the desired therapeutic effect. Pathologic diagnosis of the resected tissue can be performed after surgery.

Patients with CIN3 and adenomyosis are advised to go to the hospital actively, complete the relevant examinations, and choose the appropriate treatment plan under the guidance of the doctor, so as to avoid adverse consequences.